Evidence map›Paper›PMID 40610488›Full record

ArticleNPJ vaccines2025

A field test of empathetic refutational and motivational interviewing to address vaccine hesitancy among patients.

Angelo Fasce, Mirela Mustață, Alexandra Deliu, Dawn Holford, Linda Karlsson, Virginia Gould, Gheorghe Gindrovel Dumitra, Dana Farcasanu, Iulia Vișinescu, Pierre Verger and 1 more

Abstract read
In one paragraph

Article in NPJ vaccines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
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  7. Anchored and Propagated Updating Within Pseudoscientific Belief Systems.Annals of the New York Academy of Sciences · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Angelo FasceUniversity of Erfurt, Erfurt, Germany. angelofasce@hotmail.com.
Mirela MustațăCenter for Health Policies and Services, Bucharest, Romania.
Alexandra DeliuRomanian Academy, Bucharest, Romania.
Dawn HolfordUniversity of Bristol, Bristol, UK.
Linda KarlssonUniversity of Turku, Turku, Finland.
Virginia GouldUniversity of Bristol, Bristol, UK.
Gheorghe Gindrovel DumitraUniversity of Medicine and Pharmacy of Craiova, Craiova, Romania.
Dana FarcasanuCenter for Health Policies and Services, Bucharest, Romania.
Iulia VișinescuCenter for Health Policies and Services, Bucharest, Romania.
Pierre VergerSoutheastern Health Regional Observatory, Marseille, France.
Stephan LewandowskyUniversity of Bristol, Bristol, UK.

Funding

European Commission 964728
6 · The paper itself

Abstract

Vaccine hesitancy is among the most concerning public health issues due to declining immunization rates worldwide. We report a mixed-methods field test of two conversational techniques that allow for an empathetic dialogue on vaccination between health care professionals and patients: Empathetic-refutational interviewing (ERI) and motivational interviewing (MI). Thirty Romanian general practitioners were assigned to an untrained control group and to two experimental groups in which they were trained in ERI or MI. After training, physicians had conversations on HPV and influenza vaccines with 334 patients who were hesitant to receive a vaccination. Patients of physicians in the ERI group demonstrated larger increases in positive attitudes toward vaccines and willingness to get vaccinated, while a greater proportion of patients in the MI group scheduled vaccination appointments. Interviews with participating physicians revealed overall satisfaction with the conversational techniques. Empathetic interpersonal communication can have a substantial positive impact on vaccination rates, especially for vaccines subject to mass misinformation campaigns.

Identifiers

PMID40610488
PMCPMC12229542

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.